| NPI | 1730374158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY8602) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2021-02-18 |