| NPI | 1962771832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 4129) |
| 101YM0800X Counselor, Mental Health (Licence: PR 4129) | |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2016-10-15 |