| NPI | 1063952547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-63859) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2023-02-22 |