| NPI | 1578767208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AL 2022-089) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: FL 1-05-2631) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: TN 553) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2023-04-04 |