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