| NPI | 1962794479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-12-12194) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2018-06-12 |