| NPI | 1780021790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60493871) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-08-4635) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2022-04-27 |