| NPI | 1760164636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 4823) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CT 4823) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2024-08-02 |