| NPI | 1629341904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PR 5590) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PR 1124) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2017-05-25 |