| NPI | 1205365152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-1-20-42654) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH16975) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2023-01-16 |