| NPI | 1578447314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 250075383) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MA 388088) |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |