| NPI | 1487987830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: FL SS587) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103K00000X Behavior Analyst (Licence: FL 1-04-1704) | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |