| NPI | 1366103285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103K00000X Behavior Analyst | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2025-10-01 |