| NPI | 1356585749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-10-7188) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: SC 4566) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2012-06-12 |