| NPI | 1083133508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 4148-MH-B1) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2022-09-27 |