| NPI | 1568902336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |