| NPI | 1679307615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: DC 0000000) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-08-30 |