| NPI | 1659906212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AL 46493) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: AL 0099-8484) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-04 |