| NPI | 1104243112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TH0100X Psychologist, Health Service | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2022-07-11 |