| NPI | 1942571864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MS 621108) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MS 1 -11-9207) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2022-01-24 |