| NPI | 1598431868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: TX 71612) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 6081) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |