| NPI | 1861867574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-16-21741) |
| 103T00000X Psychologist (Licence: NC 6145) | |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2022-09-23 |