| NPI | 1407374887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: ID 1-21-57129) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: ID 1-21-57129) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2026-01-22 |