| NPI | 1407286651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-36840) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2013-11-24 |
| Last Update Date | 2019-07-03 |