| NPI | 1750836383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-57711) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2022-02-10 |