| NPI | 1639557192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS LCP01530) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2025-09-03 |