| NPI | 1851625727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: PR 1956) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PR 1956) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: PR 1956) | |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |