| NPI | 1891191789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |