| NPI | 1922881119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: MI SP0000001137780) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 34570) |
| 103TS0200X Psychologist, School (Licence: CO 24436855) | |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-19 |