| NPI | 1366717506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD Oc014234) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2015-12-07 |