| NPI | 1063999001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: RI LBA00454) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2025-01-24 |