| NPI | 1720558869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 4058) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2018-12-02 |
| Last Update Date | 2023-09-01 |