| NPI | 1396021911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY11514) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10632) |
| 103K00000X Behavior Analyst (Licence: FL BCBA-20-42493) | |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2024-05-28 |