| NPI | 1558550046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 325706-2501) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst (Licence: UT 325706-2506) | |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2025-08-05 |