| NPI | 1760261374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CO 24427809) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: SC 315434) |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-09-22 |