| NPI | 1518096064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-16-23471) |
| Additional Taxonomies | 225800000X Recreation Therapist |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-05-20 |