| 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 |