| NPI | 1194993246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 2998) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TN 1-05-2361) |
| 103K00000X Behavior Analyst (Licence: TN 821) | |
| 174400000X Specialist (Licence: BCBA 1-05-2361) | |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2022-06-21 |