| NPI | 1497107346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA 1-21-55829) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2022-03-28 |