| NPI | 1093446999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0006875) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 22215392) |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2025-11-05 |