| NPI | 1982970836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071010147) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 12040537) |
| 103T00000X Psychologist (Licence: MA 9486) | |
| 103TS0200X Psychologist, School (Licence: FL 39443) | |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2021-05-11 |