| NPI | 1184639569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY5395) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC0700X Psychologist, Clinical (Licence: FL PY5395) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2024-07-02 |