| NPI | 1821561697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 0004829) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-09-24 |