| NPI | 1518684901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 22-216914) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2024-07-25 |