| NPI | 1407239189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005242) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000504) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2021-04-23 |