| NPI | 1972118552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TF0000X Psychologist Family | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-10-13 |