| NPI | 1184759524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MA 9050) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1041813) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2010-09-20 |