| NPI | 1710489745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5317) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NC 5317) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-17 |