| NPI | 1619321080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: FL PY12463) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2024-12-05 |