| NPI | 1700070091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-06-2975) |
| Additional Taxonomies | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: FL 1-06-2975) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2024-04-22 |