| NPI | 1073155487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: VA 0813001104) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2020-08-31 |