| NPI | 1295361038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 175T00000X Peer Specialist | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |