| NPI | 1801528740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: PA 2758609) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 1517937211) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-07-06 |