| NPI | 1912041096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2172-057) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WI 1095559) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2018-09-05 |