| NPI | 1124242045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL PY4399) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY4399) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-09-21 |