| NPI | 1407667702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-15 |