NPI | 1104353663 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-50666) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11018970) |
106S00000X Behavior Technician | |
Enumeration Date | 2017-05-16 |
Last Update Date | 2025-09-03 |