| NPI | 1205064508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL 1-08-4361) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-08-4361) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2012-10-23 |