| NPI | 1669981411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: IL 1812464) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: IN 10157431) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |