| NPI | 1720290984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: VA 0803000225) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: VA 803000225) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2024-10-03 |