| NPI | 1366857179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-50160) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 6071) |
| 106S00000X Behavior Technician (Licence: FL RBT-18-56688) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2023-08-22 |