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 |