| NPI | 1043961089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA S08623597) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2023-02-01 |