| NPI | 1225358781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 4024) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PR 1006) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2021-07-29 |