| NPI | 1124321278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 222Q00000X Developmental Therapist | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2020-06-18 |