| NPI | 1801960406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G63521) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-13-4220) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA G63521) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2017-12-27 |