| NPI | 1649510595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 261QM0801x) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: OK 200471350A) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |