| NPI | 1457632150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA 003548) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 12273) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2023-09-18 |