| NPI | 1144889338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |