| NPI | 1851448963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MS 36618) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-00-00351) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2013-12-19 |