| NPI | 1992920367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL PY0005507) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY0005507) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2019-09-25 |