| NPI | 1598624017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CO 24532512) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NC 1281413) |
| 103TS0200X Psychologist, School (Licence: SC 610729) | |
| Enumeration Date | 2026-01-20 |
| Last Update Date | 2026-01-22 |