| NPI | 1598157455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 07606) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101Y00000X Counselor (Licence: MD A0657) | |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2026-08-29 |