| NPI | 1629377031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 7936) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 780) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2018-06-26 |