| NPI | 1538058268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 240234923) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: IL 2677440) |
| 103TS0200X Psychologist, School (Licence: MI SP0000001211679) | |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |