| NPI | 1376917260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-16-21462) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2020-11-19 |