| NPI | 1821651605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 3432) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 2432) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2021-07-15 |