| NPI | 1245426584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 675) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NC 0330) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |