| NPI | 1295136067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: NY 640098) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 640098) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2022-02-14 |