| NPI | 1356073332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 5257-57) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 730) |
| 103K00000X Behavior Analyst (Licence: OH COBA.01077) | |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2024-08-15 |