| NPI | 1336936608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: PA BH006557) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH006557) |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-04-21 |