| NPI | 1396265195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MS 621133) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MS 261027) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2026-08-25 |