| NPI | 1295103216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2020010031) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2020-10-27 |