| NPI | 1386232817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: NY 1226280181) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 11726313) |
| Enumeration Date | 2021-01-10 |
| Last Update Date | 2021-01-10 |