| NPI | 1134762420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH005851) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: PA 15313) |
| Enumeration Date | 2019-10-20 |
| Last Update Date | 2022-03-28 |