| NPI | 1396242848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ PSY-005376) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI RBT-16-19520) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2024-08-05 |