| NPI | 1700469285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: VA PPS-0606301) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2025-02-26 |