| NPI | 1154113256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: AZ D09403453) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: AZ D09403453) |
| 156FC0800X Technician/Technologist, Contact Lens (Licence: AZ D09403453) | |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: AZ D09403453) | |
| 207P00000X Emergency Medicine (Licence: AZ D09403453) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: AZ D09403453) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ D09403453) | |
| 103G00000X Clinical Neuropsychologist (Licence: AZ D09403453) | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: AZ D09403453) | |
| 2279H0200X Respiratory Therapist, Registered, Home Health (Licence: AZ D09403453) | |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-05-22 |