| NPI | 1972920130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-14-15086) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2024-10-16 |