| NPI | 1699101717 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-23-14442)  | 
| Additional Taxonomies | 222Q00000X Developmental Therapist | 
| Enumeration Date | 2013-09-20 | 
| Last Update Date | 2023-04-27 |