| NPI | 1134468853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD A0346) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD 078) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2019-09-05 |