| NPI | 1790409571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2025-10-08 |