| NPI | 1912890336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 222Q00000X Developmental Therapist | |
| 225XM0800X Occupational Therapist, Mental Health | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-06-08 |