| NPI | 1285180620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-52560) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-18-59147) |
| 222Q00000X Developmental Therapist (Licence: HI RBT-15-06090) | |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2021-10-11 |