| NPI | 1972934974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 4476) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-09-5881) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |