| NPI | 1063899599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-20-43664) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 15-11178) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2022-04-28 |