| NPI | 1154706034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0006601) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2024-12-19 |