| NPI | 1073038139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-86830) |
| Additional Taxonomies | 251E00000X Home Health |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2026-01-13 |