| NPI | 1093261737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-17-29567) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 0-17-8186) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2018-03-24 |