| NPI | 1114226974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY8731) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-11-8006) |
| Enumeration Date | 2011-03-19 |
| Last Update Date | 2013-04-08 |