| NPI | 1861231193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CT C012019002337) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MA 512838) |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2024-05-24 |