| NPI | 1760803316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-15-20766) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2016-01-19 |