| NPI | 1457792830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3734) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |