| NPI | 1104255116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS018008) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH002643) |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2016-02-09 |