| NPI | 1477629962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: RI LBA00001) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: RI PS00945) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: RI PS00945) | |
| 103TS0200X Psychologist School (Licence: RI PS00945) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2019-05-14 |