| NPI | 1881002251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: TN 000617043) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: IL 1802098) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |