| NPI | 1598203010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-16-22686) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: FL SS1278) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |