| NPI | 1003222696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-30146) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: RBT-21-193003) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2022-10-18 |