| NPI | 1275164980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-2258902) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA APC000905) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2025-04-16 |