| NPI | 1316269350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA PSY003346) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA 1084375) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2021-08-24 |