| NPI | 1922400266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-54532) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2021-10-27 |