| NPI | 1295061182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OR 5065) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: OR 5065) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2019-02-07 |