| NPI | 1952844052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-40629) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2020-02-17 |