| NPI | 1972089951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: UT 568658) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 150152818) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-23 |