| NPI | 1770119935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2023-07-27 |