| NPI | 1336723501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-23-66937) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| 224Z00000X Occupational Therapy Assistant | |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2023-07-24 |