| NPI | 1891379681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS019213) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: PA 6091323) |
| Enumeration Date | 2021-05-08 |
| Last Update Date | 2025-03-12 |