| NPI | 1538535455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 11859) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 3840) |
| 103TS0200X Psychologist, School (Licence: MA 494563) | |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2024-04-24 |