| NPI | 1386120632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY12764) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY12764) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2025-07-28 |