| NPI | 1639951049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2025-07-25 |