| NPI | 1033418132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CO 153968) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TS0200X Psychologist, School (Licence: NJ 735811) | |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2021-12-22 |