| NPI | 1871094045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TN 4105) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN 4105) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2025-09-08 |