NPI | 1760693949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-10-7365) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2007-05-27 |
Last Update Date | 2019-06-04 |