| NPI | 1265564124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-04-2046) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2016-06-14 |