| NPI | 1649053737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: FL 1460288) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 2514460) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-14 |