| NPI | 1396173001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: NE 10094) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI 1574) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2016-07-27 |