| NPI | 1932569027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX 37346) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.009237) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2025-10-29 |