| NPI | 1144574641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-241) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: LA 010112115) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2018-03-17 |