| NPI | 1467704775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MT PSY-PSY-2844) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MT 1-16-23047) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2024-06-04 |