NPI | 1710564471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL SS1950) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 4112) |
103T00000X Psychologist (Licence: CA 4112) | |
Enumeration Date | 2021-03-26 |
Last Update Date | 2025-06-30 |