| NPI | 1013171867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS TLMLP 2484) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000088) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2022-04-08 |