| NPI | 1487335014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 06662) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MD 62097) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-07-27 |