| NPI | 1033440557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 162688) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 244268) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2025-06-23 |