| NPI | 1225720006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 7050) |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical (Licence: PR 7050) | |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |