| NPI | 1225591266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY11129) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY11129) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2022-10-13 |