| NPI | 1083680821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 2312) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: CO 2312) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2017-02-27 |