| NPI | 1942861463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 003765) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 262) |
| 103TS0200X Psychologist, School (Licence: CT C062016002529) | |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2024-06-26 |