| NPI | 1518199389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AZ 4677) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2015-11-13 |