| NPI | 1154673325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103K00000X Behavior Analyst | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2021-11-18 |