| NPI | 1578854105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-11-8121) |
| Enumeration Date | 2011-05-01 |
| Last Update Date | 2014-10-07 |