| NPI | 1013326214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: VA RBT-16-26722) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 222Q00000X Developmental Therapist (Licence: VA T62056286) | |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2026-05-11 |