| NPI | 1043706005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-11304) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2022-05-29 |