| NPI | 1336003383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY12910) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL BACB473975) |
| 103K00000X Behavior Analyst (Licence: MD LBA2444) | |
| Enumeration Date | 2025-12-15 |
| Last Update Date | 2025-12-15 |