| NPI | 1659850063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 2080C0008X Pediatrics, Child Abuse Pediatrics | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |