| NPI | 1023010105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 039248) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 039248) |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2013-10-29 |