| NPI | 1518127711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: MS 47 821) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MS 47 821) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MS 47 821) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2023-11-09 |