| NPI | 1518482520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY004325) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-18-32474) |
| 103T00000X Psychologist (Licence: GA PSY004325) | |
| 103TS0200X Psychologist, School (Licence: NCSP65439) | |
| 103TS0200X Psychologist, School (Licence: GA 1881606) | |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2026-09-02 |