| NPI | 1548959810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA LABA) |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-07-11 |