| NPI | 1326493529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VA 0810005467) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000722) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: IA 084673) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: VA 0810005467) | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2024-04-15 |