| NPI | 1982194932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 11941) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A196661) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2025-04-02 |