| NPI | 1164119582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 0-25-16555) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 106S00000X Behavior Technician (Licence: VA RBT-23-269503) | |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2025-11-11 |