| NPI | 1629101183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |