| NPI | 1871872762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5321) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1-11-9642) |
| 103T00000X Psychologist (Licence: NC 103213) | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2023-01-24 |