| NPI | 1700219201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-18-29355) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2018-06-05 |