| NPI | 1285835587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: AZ ADE) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: AZ 0135) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2022-07-21 |