| NPI | 1912797804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: OH 22168625) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NJ 01843756) |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-12 |