| NPI | 1497021430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4886) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 0-12-4415) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2022-09-19 |