| NPI | 1912537051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA885) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 909) |
| 222Q00000X Developmental Therapist (Licence: CT 909) | |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2022-02-17 |