| NPI | 1124215256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AR 18-08P) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AR A0510074) |
| 225100000X Physical Therapist (Licence: AR 1724) | |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2018-08-30 |