| NPI | 1831490788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY 60260580) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-07-3421) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2012-08-07 |