| NPI | 1215350707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-50450) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 0-20-10764) |
| 106S00000X Behavior Technician | |
| 225200000X Physical Therapy Assistant (Licence: FL pta24500) | |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2024-05-16 |