| NPI | 1639771728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-74378) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL 100971) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2024-08-12 |