| NPI | 1336427947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY9231) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-11-8487) |
| Enumeration Date | 2011-07-30 |
| Last Update Date | 2024-01-30 |