| 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 |