| NPI | 1518299064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA 003345) |
| 103K00000X Behavior Analyst (Licence: MO 2018028941) | |
| 103T00000X Psychologist (Licence: MO 2025009591) | |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2025-08-20 |