| NPI | 1619208048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ZZ 19994211042230176010) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |