| NPI | 1891024634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 102873) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 1084238) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2013-10-06 |