| NPI | 1578679734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000218) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: VA 0810003012) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2022-04-25 |