| NPI | 1124539358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5937) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103G00000X Clinical Neuropsychologist | |
| 111N00000X Chiropractor (Licence: TX 13631) | |
| Enumeration Date | 2017-10-15 |
| Last Update Date | 2020-12-03 |