| NPI | 1003222894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: VA 0813001141) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2023-05-17 |