| NPI | 1093532335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TP0814X Psychologist, Psychoanalysis | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-10-01 |