| NPI | 1316109986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: GA 0-19-10472) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101YM0800X Counselor, Mental Health | |
| 106E00000X Assistant Behavior Analyst (Licence: PA 01910472) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2024-09-17 |