| NPI | 1760070353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: DE L1-0046615) |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2023-06-09 |