| NPI | 1801366992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 4155-57) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 12262) |
| 103K00000X Behavior Analyst (Licence: OK RBT-18-65709) | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2023-10-13 |