| NPI | 1093136673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD LBA1236) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2022-04-04 |