| NPI | 1083125504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9874) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-14-10132) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2024-12-06 |