| NPI | 1992352140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OK 1441) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-21-55835) |
| 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005606) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2024-12-20 |