| NPI | 1184955627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BA-101) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: IL 05280) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2013-12-16 |