| NPI | 1649563719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-18-33315) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 103K00000X Behavior Analyst (Licence: FL 0-12-4425) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2022-11-16 |