| NPI | 1033819669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156F00000X Technician/Technologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-03-02 |