NPI | 1710375217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-18-31635) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2015-01-06 |
Last Update Date | 2019-01-14 |