| NPI | 1598491193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 07570) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD 1-19-37610) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2026-09-06 |