| NPI | 1164935607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL 020899400) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-29 |