| NPI | 1013316959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-54371) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2014-08-16 |
| Last Update Date | 2022-01-07 |