| NPI | 1528449477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: HI PSY-1969) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: HI MHC-411) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2025-01-31 |