| NPI | 1578908166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA PSY004716) |
| 103K00000X Behavior Analyst (Licence: 1-20-46254) | |
| 103TC0700X Psychologist, Clinical (Licence: GA PSY004716) | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2023-08-29 |