| NPI | 1336751296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-23-285207) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 2996) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2023-07-25 |