| NPI | 1992283857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CO 336414) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 5749) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2022-03-24 |