| NPI | 1760441794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 2751) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 4694) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2017-11-03 |