| NPI | 1649024100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 220217744) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 1614145221) |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |