NPI | 1487135950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-1-25-84389) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS100501) |
106E00000X Assistant Behavior Analyst (Licence: FL 0-19-9969) | |
Enumeration Date | 2018-08-23 |
Last Update Date | 2025-09-25 |