| NPI | 1881359842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 4059) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2022-07-08 |