| NPI | 1518144583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 1921) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1073513) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2016-10-13 |