| NPI | 1568784114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2916-57) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WI 59-140) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2015-11-18 |