| NPI | 1801478037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KY 269363) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: KY 269363) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2021-04-27 |