| NPI | 1861685729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: AZ 3998) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: AZ 3900899) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2009-03-26 |