| NPI | 1295826568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DE B10000188) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: DE B10000188) |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: DE B10000188) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2011-09-12 |