| NPI | 1477333565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225800000X Recreation Therapist | |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2025-09-23 |