| NPI | 1578890463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 1-11-9260) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103K00000X Behavior Analyst (Licence: AZ BEH-001124) | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2023-06-05 |