| NPI | 1699119875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 366622) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: MO 366622) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |