| NPI | 1255480596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1123) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 7783) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2017-04-25 |