| NPI | 1902207251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA 2342) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |