| NPI | 1255905477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PPY342) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 12563) |
| 103K00000X Behavior Analyst (Licence: 1-17-27476) | |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2022-08-31 |