| NPI | 1225342272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YS0200X Counselor, School | |
| 103K00000X Behavior Analyst | |
| 103TC1900X Psychologist, Counseling | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-08-02 |