| 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 |