| NPI | 1558716431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103K00000X Behavior Analyst (Licence: BHV-010756) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2026-07-29 |