| NPI | 1184882375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: FL 1-06-2638) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TN 1-06-2638) |
| Enumeration Date | 2008-05-25 |
| Last Update Date | 2014-03-14 |