| NPI | 1982939591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-06-2809) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2023-05-23 |