| NPI | 1265656359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: CO 14071) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-13-14576) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2014-05-01 |