| NPI | 1700434107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| 174400000X Specialist | |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |