| NPI | 1588469563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: UT 685132) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 220150395) |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-02-25 |