| NPI | 1558641753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IA 001216) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2015-08-19 |