| NPI | 1578850954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM 1441) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-13-12717) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2016-11-28 |