| NPI | 1215647003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TF0000X Psychologist, Family | |
| 101Y00000X Counselor | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2022-12-04 |