| NPI | 1942533211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 0-08-2582) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 3717) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NC 3717) | |
| 171000000X Military Health Care Provider (Licence: NC 0-08-2582) | |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2020-07-17 |