| NPI | 1659719086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 244267) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: KY 201136144) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2018-09-26 |