| NPI | 1548570385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2025-12-04 |