NPI | 1699450114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
Additional Taxonomies | 103TS0200X Psychologist, School |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2023-06-21 |
Last Update Date | 2023-06-21 |