| NPI | 1134877707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: VA 3876) |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2026-02-22 |