| NPI | 1104198555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 174400000X Specialist |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2023-08-30 |