| NPI | 1497170179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: MI 4704199963) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 4704199963) |
| 208D00000X General Practice (Licence: MI 4704199963) | |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |