| NPI | 1740787225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-63295) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-11708) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2022-12-22 |