| NPI | 1821331919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AL 1-17-29817) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2018-03-26 |