| NPI | 1992475578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103T00000X Psychologist | |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2021-09-15 |