| NPI | 1689983462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KY 129011) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 100330) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2020-09-24 |