| NPI | 1356793558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-16-24635) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2024-10-16 |