| NPI | 1497363725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA1806) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133003428) |
| 106S00000X Behavior Technician | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2024-04-24 |