| NPI | 1164961371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2019-06-18 |