| NPI | 1336379445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY7910) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-04-1252) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |