| NPI | 1568525673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2041-057) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WI 181-140) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2021-07-14 |