| NPI | 1265759658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY7272) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-02-0784) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |