| NPI | 1245803675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: SC 0-24-15706) |
| 251S00000X Community/Behavioral Health (Licence: SC 0-24-15706) | |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2024-12-24 |