| NPI | 1225450091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL 11750) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2023-05-04 |