| NPI | 1063088110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017726) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1-18-32643) |
| Enumeration Date | 2021-05-30 |
| Last Update Date | 2021-05-30 |