| NPI | 1013762442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NM PSY-2026-0040) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: VT 048.0135400) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NH 7185) | |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2026-08-05 |