| NPI | 1932468667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 05624) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 06825) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2019-09-23 |