| NPI | 1730585217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MT 1482) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MT 87674) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2014-11-11 |