| NPI | 1356866073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 6225) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-17-31331) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2022-11-01 |