| NPI | 1679697510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: HI PSY1099) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: HI 1-00-0056) |
| 103K00000X Behavior Analyst (Licence: 1-00-0056) | |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2009-09-03 |