| NPI | 1942949409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: TX 72173) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: SC 294131) |
| 103TS0200X Psychologist School (Licence: WA 530413D) | |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-06-13 |