| NPI | 1568149490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: AZ CSLG12716) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2024-10-23 |