| NPI | 1659801751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: DE 86156) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 2696901) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |