| NPI | 1356052278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: NC A1491) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC RBT-22-248349) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2024-03-23 |