| NPI | 1487135018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-63176) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-17-38823) |
| 222Q00000X Developmental Therapist (Licence: FL RBT-17-38832) | |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2023-02-06 |