| NPI | 1316279029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-30910) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 103K00000X Behavior Analyst (Licence: FL 0-12-5038) | |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2024-04-24 |