| NPI | 1467059824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: AR 6872461) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CO 232399) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |