| NPI | 1740599208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: CT 6432014330) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 1-10-7178) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2014-01-23 |