| NPI | 1447700273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VA 0810008257) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103T00000X Psychologist (Licence: AL 2379) | |
| 103TC0700X Psychologist, Clinical (Licence: MS 631181) | |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2024-12-18 |