| NPI | 1902458797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: VA PPS-0605866) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2024-10-30 |