| NPI | 1376999284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-50583) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 103K00000X Behavior Analyst (Licence: FL RBT 1505170) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2026-03-09 |