| NPI | 1679883730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1000689) |
| 103T00000X Psychologist (Licence: FL SS0000114) | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2021-11-09 |