| NPI | 1225213374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 1869) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 3033) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2015-12-31 |