| NPI | 1255475166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: DE B1-000303) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-01-0655) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2012-03-20 |