| NPI | 1427706050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101YM0800X Counselor, Mental Health (Licence: VA 0733004836) | |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2025-03-06 |