| NPI | 1083274781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 03053-T) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2021-07-06 |