| NPI | 1114428398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-746) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: LA C118) |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2023-06-23 |