| NPI | 1306207022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-487) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: LA RBT-18-59681) |
| 224Z00000X Occupational Therapy Assistant (Licence: KS T-04459) | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2021-05-20 |