| NPI | 1114253952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2006016151) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2006016151) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2024-04-25 |