| NPI | 1578987467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-14-10336) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TN 7273038) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2015-07-31 |