| NPI | 1588086235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-14-16631) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2026-01-07 |