| NPI | 1245785971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY9704) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2024-07-03 |