| NPI | 1861775819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006301) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CO OT.0005678) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2024-01-26 |