| NPI | 1801269048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: NC 4880) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NC 4880) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2022-04-19 |