| NPI | 1346449584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: FL PY8272) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 103T00000X Psychologist (Licence: FL PY8272) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2021-02-18 |