| NPI | 1558992354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ PSY-005961) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BEH-000509) |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2025-11-24 |