| NPI | 1710537493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-10-25 |