| NPI | 1053543876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: PA PS016390) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1-08-4175) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS016390) | |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2009-08-12 |