| NPI | 1184035495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: CO 4618) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NM 1426) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2019-02-26 |