| NPI | 1285970590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-139) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: LA 008610961) |
| 103K00000X Behavior Analyst (Licence: LA 1-13-13706) | |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2016-03-14 |