| 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 |