| NPI | 1023460359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-39304) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0189408) |
| 222Q00000X Developmental Therapist | |
| 103K00000X Behavior Analyst (Licence: NC 2110) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2025-05-19 |