| NPI | 1578155818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AL 2021-006) |
| Additional Taxonomies | 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: AL 2021-006) |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2022-10-31 |