| NPI | 1659046753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA PSY004511) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2021-08-11 |