| NPI | 1154706513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NV PY0982) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-15-18905) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2021-10-23 |