| NPI | 1467806521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-47068) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-73353) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2021-03-10 |