| NPI | 1720440167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5369) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1096408) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2019-07-25 |