| NPI | 1588029417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: MD 45863) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD 0-16-21415) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2016-03-29 |