| NPI | 1851075410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZE0500X Specialist/Technologist, Other, EEG |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 171400000X Health & Wellness Coach | |
| 225500000X Specialist/Technologist | |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| 2472E0500X Technician, Other, EEG | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-07-10 |