| NPI | 1831716059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ Psy-005138) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BEH00078) |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2022-09-16 |