| NPI | 1689291833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL 10792) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: PA 2463294) |
| 103TS0200X Psychologist, School (Licence: FL 1408130) | |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2023-05-05 |