| NPI | 1053656314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 01-12-12587) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2022-09-16 |