| NPI | 1770855124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY004622) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2022-08-12 |