| NPI | 1407165681 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225400000X Rehabilitation Practitioner | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ D06229897)  | 
| Enumeration Date | 2010-10-05 | 
| Last Update Date | 2024-06-11 |