| NPI | 1316719412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2026-08-25 |