| NPI | 1285059485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: FL SS1024) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-11-8109) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |