| NPI | 1982830790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: LA 1096) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA 010) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2018-02-21 |