| NPI | 1881973170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 4070) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN LPC0000004430) |
| 103K00000X Behavior Analyst (Licence: PA BH001420) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2025-09-05 |