| NPI | 1043697402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: PR 4097) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2023-10-06 |