| NPI | 1952820086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: IN 28315) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 40044) |
| 103TP2701X Psychologist Group Psychotherapy (Licence: IN 28315) | |
| Enumeration Date | 2017-09-09 |
| Last Update Date | 2022-07-21 |