| NPI | 1487221875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TA0700X Psychologist, Adult Development & Aging | |
| Enumeration Date | 2021-06-05 |
| Last Update Date | 2021-06-05 |