| NPI | 1275789380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-06-2814) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: TN 1062814) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2012-04-24 |