| NPI | 1053290916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NE 20230000776) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NE 0327) |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-08-27 |