| NPI | 1417495938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: MD 1001656910) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD LBA292) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2025-07-01 |