| NPI | 1073880456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 002774) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2016-12-16 |