| NPI | 1053766733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: RI LBA00278) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2022-08-02 |