| NPI | 1578700985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-08-4268) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: 05848) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2021-05-07 |