| NPI | 1255905477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS02340) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-17-27476) |
| 101YM0800X Counselor, Mental Health (Licence: NE 12563) | |
| 103TC0700X Psychologist, Clinical (Licence: FL PPY342) | |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2026-05-08 |