| NPI | 1629600200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 101735-851) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WI RBT-19-106766) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2025-06-27 |