| NPI | 1487197901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: ID 1-16-22013) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2019-03-18 |