| NPI | 1225897168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-03-14 |