| NPI | 1093838997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DE B10000878) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS015379) |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: PA PS015379) | |
| Enumeration Date | 2007-04-08 |
| Last Update Date | 2011-08-11 |