| NPI | 1215909403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 1585-057) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: WI 1585-057) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2013-02-15 |