| NPI | 1598025231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 1-18-29574) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2012-05-28 |
| Last Update Date | 2024-03-26 |