| NPI | 1528713583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: AZ 10231756) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NM 410178) |
| 103TS0200X Psychologist, School (Licence: IL 1903216) | |
| 103TS0200X Psychologist, School (Licence: IN 10187463) | |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2025-04-01 |