| NPI | 1619286788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-10-7387) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 4112) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2013-10-08 |