| NPI | 1467709956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-22-59007) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2025-12-20 |