| NPI | 1063886877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MA PY10898) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1936) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2024-08-05 |