| NPI | 1669920849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZE0500X Specialist/Technologist, Other, EEG |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2022-06-07 |