| NPI | 1588813372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000739) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 103K00000X Behavior Analyst (Licence: IL 1-18-30528) | |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2023-11-15 |