| NPI | 1881039139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-12-12371) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2021-10-27 |