| NPI | 1689284648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 174400000X Specialist |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |