| NPI | 1578003182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA1-23-70484) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MH21431) |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2024-10-31 |