| NPI | 1164054854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-76645) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-24-15068) |
| 106S00000X Behavior Technician | |
| 222Q00000X Developmental Therapist | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2024-10-18 |