| NPI | 1275924128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |