| NPI | 1205726643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 18103) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 3016) |
| 103K00000X Behavior Analyst (Licence: 17283) | |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-07 |