| NPI | 1306249230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-46935) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2021-01-25 |