| NPI | 1477105740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11039995) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2025-12-30 |