| NPI | 1548639685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA-511-0) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI 1-21-48278) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2021-03-31 |