| NPI | 1649509001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-15-20615) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2022-02-10 |