| NPI | 1265055826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NE RBT-20-118531) |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2025-05-29 |