| NPI | 1356723332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY004848) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA 1-15-18561) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2025-05-15 |