| NPI | 1346772852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-69043) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-56304) |
| 224Z00000X Occupational Therapy Assistant (Licence: FL 17886) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2023-10-23 |