| NPI | 1992171474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: VA 0803000304) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NJ 968032) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2024-11-12 |