| NPI | 1184075483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-40133) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2022-03-29 |