| NPI | 1134762941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY10627) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL PY10627) |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2019-10-24 |