| NPI | 1194153668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 167337) |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2022-07-21 |