| NPI | 1669292744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: DE RBT-25-438647) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2025-10-21 |