| NPI | 1932679735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM PSY1664) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 1-18-29767) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2024-06-24 |