| NPI | 1689144842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO PSY.0005776) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 38984) |
| 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0005776) | |
| 103TC0700X Psychologist Clinical (Licence: TX 38984) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2023-03-24 |