| NPI | 1043598014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY8661) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2015-10-08 |