| NPI | 1114109287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS-015283) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2009-06-30 |