| NPI | 1972244291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: ID 34419) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: ID EDUID552776347) |
| 103TS0200X Psychologist School (Licence: WA 439884H) | |
| Enumeration Date | 2022-04-02 |
| Last Update Date | 2024-06-05 |