| NPI | 1245716307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 992) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NE 1-19-39489) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2022-12-16 |