| NPI | 1912382250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 11834183) |
| Additional Taxonomies | 174400000X Specialist |
| 221700000X Art Therapist | |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2024-09-05 |