| NPI | 1083164123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
| Additional Taxonomies | 132700000X Dietary Manager |
| 221700000X Art Therapist | |
| 225A00000X Music Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |