| NPI | 1801830930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9578) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10686) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2023-03-30 |