| NPI | 1689132557 |
|---|---|
| Former Name | LAELI SHARIFI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008217) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2023-08-02 |