| NPI | 1720590979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0004X Psychologist, Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2018-06-16 |