| NPI | 1699870295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: NC 1886) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 1886) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2024-08-28 |