| NPI | 1801690110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: AZ 6109844) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MI SP0000001196596) |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-03 |