| NPI | 1437648516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BACB122536) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2020-07-31 |