| NPI | 1225476575 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst | 
| Additional Taxonomies | 222Q00000X Developmental Therapist | 
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2013-06-10 | 
| Last Update Date | 2022-06-29 |