| NPI | 1730912908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY8233) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 103TF0000X Psychologist, Family | |
| 103TH0004X Psychologist, Health | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-08-23 |