| NPI | 1821322157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 0-03-0986) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: PA 0-03-0986) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2022-05-18 |