| NPI | 1215249677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 2138780) |
| Additional Taxonomies | 253J00000X Foster Care Agency (Licence: AZ 2138780) |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: AZ 2138780) | |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2025-07-25 |