| NPI | 1215235593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NE 1-12-10481) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NE 427) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2015-09-21 |