| NPI | 1417194812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-03-1119) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |