| NPI | 1265731970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH 6804) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH 1-11-8397) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2012-09-07 |