| NPI | 1245847037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-124172) |
| Enumeration Date | 2020-09-26 |
| Last Update Date | 2026-07-07 |