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 |