| NPI | 1306349691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TN 1631) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 260686) |
| 103K00000X Behavior Analyst | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2024-11-19 |