| NPI | 1336367366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-11-8664) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 30484) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2012-02-29 |