| NPI | 1508342379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-77483) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 23-289778) |
| 225X00000X Occupational Therapist (Licence: FL 15916) | |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2024-11-21 |