| NPI | 1396496568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2022-01-10 |