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 |