| NPI | 1063197986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2024-12-20 |