| NPI | 1225482227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2016-04-16 |
| Last Update Date | 2016-04-17 |