| NPI | 1790027274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000745) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2023-05-26 |