| NPI | 1871716084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000092) |
| Additional Taxonomies | 225800000X Recreation Therapist |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2021-09-30 |