| NPI | 1477105740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-26-89121) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11039995) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2026-04-10 |