| NPI | 1922370725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1848) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: GA 050903471) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2018-03-17 |