| NPI | 1770010290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 222Q00000X Developmental Therapist | |
| 225XN1300X Occupational Therapist, Neurorehabilitation | |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2022-07-21 |