| NPI | 1992310452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: VA 0813000344) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: VA 0816000011) |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-11-03 |