| NPI | 1093102196 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst | 
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst | 
| 106S00000X Behavior Technician | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2015-04-16 | 
| Last Update Date | 2022-12-26 |