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 |