| NPI | 1801672225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 4385) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT BA-000345) |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2023-09-01 |