| NPI | 1740736396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: VA PPS-0608694) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: OH OH3225850) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2025-10-07 |