| NPI | 1245796598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |