| NPI | 1588054951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: SC 0-14-6114) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2016-08-27 |