| NPI | 1578999223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: NV NV20151096118) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 2472E0500X Technician, Other, EEG | |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2023-09-20 |