| NPI | 1578724936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL F462100836410) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL f462100836410) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2018-03-17 |