| NPI | 1851702708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: MD 05898) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 05898) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2020-05-29 |