| NPI | 1295034957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-14-15093) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 0-02-0492) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2018-03-17 |