| NPI | 1346831997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1065) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TN 1065) |
| 103K00000X Behavior Analyst (Licence: MD LBA833) | |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2023-12-19 |