| NPI | 1003358706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 0005) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MA 0005) |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2016-11-11 |