| NPI | 1982716544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TR0400X Psychologist Rehabilitation (Licence: TX 32390) |
| Additional Taxonomies | 103TR0400X Psychologist Rehabilitation (Licence: NM 0809) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-09-16 |