NPI | 1710404314 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-49029) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2017-08-24 |
Last Update Date | 2021-04-13 |