| NPI | 1073952461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: KY 000071985) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 000071985) |
| 171M00000X Case Manager/Care Coordinator (Licence: KY 000071985) | |
| 225A00000X Music Therapist (Licence: KY ypas1987) | |
| 235500000X Specialist/Technologist (Licence: KY 000071985) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |