| NPI | 1487156105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: VA PPS-0600486) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: VA 0813000302) |
| 103T00000X Psychologist (Licence: TX 4967) | |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |