| NPI | 1518127711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: MS 47 821) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MS 160021) |
| 103T00000X Psychologist (Licence: MS 47 821) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: MS 47 821) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2025-03-10 |