| NPI | 1295166130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: SC 103TS0200X) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: SC 1-23-63752) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2023-01-26 |