| NPI | 1073025433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-11750) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2021-01-27 |