| NPI | 1285918540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: GA PSY003851) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2021-05-26 |