| NPI | 1891102083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 5014) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 7575) |
| Enumeration Date | 2014-07-19 |
| Last Update Date | 2014-09-15 |