| NPI | 1033089727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: MD 39074) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2025-12-17 |