| NPI | 1265073431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2024-01-25 |