| NPI | 1740842970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: FL SS1417) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |