| NPI | 1053027300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-72240) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician (Licence: FL RBT-23-253458) | |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2024-04-05 |