| NPI | 1356586960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL A165-780-86-525-0) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2022-02-04 |