NPI | 1326329681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-11-8567) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: NC 1-11-8567) |
Enumeration Date | 2011-08-31 |
Last Update Date | 2015-08-31 |