| NPI | 1972646537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-08-2623) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2014-02-19 |