| NPI | 1104128131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-07-3304) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY1000529) |
| 103T00000X Psychologist (Licence: MD 04031) | |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2010-11-24 |