| NPI | 1346530953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst | |
| 174400000X Specialist | |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-04-15 |