| NPI | 1942763644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: TX 34740) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: AL CKG-0108-7506) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |