| NPI | 1548491889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0658) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 3518) |
| 103K00000X Behavior Analyst (Licence: NV 1-08-4677) | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2012-12-06 |