| NPI | 1578011292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-21-54802) |
| 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-9769) | |
| 106S00000X Behavior Technician (Licence: FL RBT-18-67680) | |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2025-01-23 |