| NPI | 1649563719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-18-33315) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-12-4425) |
| 222Q00000X Developmental Therapist | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2025-03-28 |