| NPI | 1457593741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3621) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1-08-4154) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2021-05-07 |