| NPI | 1265836969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-14-9716) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2020-09-24 |