| NPI | 1578798088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 0-09-3688) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2021-02-04 |