NPI | 1679856314 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: NY 479743) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 479743) |
Enumeration Date | 2011-09-20 |
Last Update Date | 2011-09-20 |