| NPI | 1992148829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 11829762) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2025-10-16 |