| NPI | 1093399297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2021-05-12 |