| NPI | 1508219890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WY 1-15-19964) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: WY PTSB63527) |
| 103T00000X Psychologist (Licence: WY PTSB63527) | |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-28 |