| NPI | 1447529466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |