| NPI | 1396821773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 21142) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2022-03-06 |