| NPI | 1093193021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 0-21-54658) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-17-8157) |
| 222Q00000X Developmental Therapist | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SZ11691) | |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2024-01-17 |