| NPI | 1407344849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL py11866) |
| Additional Taxonomies | 101Y00000X Counselor |
| 106S00000X Behavior Technician | |
| 247200000X Technician, Other | |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2025-08-05 |