| NPI | 1033483417 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 251B00000X Case Management | 
| Additional Taxonomies | 103K00000X Behavior Analyst | 
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2012-03-01 | 
| Last Update Date | 2022-02-15 |