| NPI | 1588111439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-35217) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2024-01-03 |