| NPI | 1457839722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 9481) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-11-8829) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2023-08-07 |