| NPI | 1558722090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-16-23221) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2019-12-19 |