NPI | 1386865095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY10431) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2007-05-01 |
Last Update Date | 2019-07-02 |