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 |