| NPI | 1205398591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008460) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2024-08-14 |