| NPI | 1144628801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TF0200X Psychologist Forensic |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2019-03-10 |