| NPI | 1538254735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MD 1052382) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 03872) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |