| NPI | 1649688201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-34699) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL W182856) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2021-05-27 |