| NPI | 1801349766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: FL SS1238) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2019-06-11 |