| NPI | 1568137503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY11325) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: FL SS1554) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2023-02-16 |