| NPI | 1104468693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 869) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: CT 869) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-11-15 |