| NPI | 1508024621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-15-18269) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: IL F43555885735) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2015-04-02 |