| NPI | 1821654807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MS 591034) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MS 591034) |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2020-12-08 |