| NPI | 1376990192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2022-02-23 |