| NPI | 1326425877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 2067) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2018-07-19 |