| NPI | 1972162733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5650) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-19-34540) |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2026-07-09 |