| NPI | 1396074613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CO 0103733) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2018-03-17 |