| NPI | 1235445115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 3744) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PR 103TC0700X) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2022-03-08 |