| NPI | 1356843510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WV 1-21-51351) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: WV 1111) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2021-10-21 |