NPI | 1376028076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2018-09-27 |
Last Update Date | 2025-04-25 |