| NPI | 1477174621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NY 4032342) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: WA 518383E) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |