| NPI | 1952154098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities |
| 103TS0200X Psychologist School | |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-04-09 |