| NPI | 1538376199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MS 46-757) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MS 150002) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2021-02-22 |