| NPI | 1124433776 |
|---|---|
| Former Name | MARTHA LOUISE ANLAGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-17-27477) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2022-07-26 |