| NPI | 1720358765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-347) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2019-03-06 |