| NPI | 1225355324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: PR RBT-25-469627) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 3636) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2025-11-17 |