| NPI | 1013245901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MD 04764) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-07-3578) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2011-07-12 |