| NPI | 1780988212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM PSY1584) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2023-07-11 |