| NPI | 1285180117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-70809) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2024-04-09 |