| NPI | 1508086539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9001) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH5439) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2023-05-04 |