| NPI | 1245576719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-24-73373) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-16-13351) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2024-06-24 |