| NPI | 1295099737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2026-05-29 |