| NPI | 1700198850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY11759) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-09-3525) |
| 103K00000X Behavior Analyst (Licence: FL 1-16-21563) | |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2023-02-28 |