| NPI | 1558852202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CO PSY.0005788) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 40898) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2026-06-01 |