| NPI | 1366025637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-24-77689) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-10349) |
| 171M00000X Case Manager/Care Coordinator (Licence: 100866) | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2024-12-10 |