| NPI | 1629399795 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-18-33584) | 
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services | 
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2010-06-11 | 
| Last Update Date | 2025-05-05 |