| NPI | 1740630581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL BCaBA0-20-11021) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 106S00000X Behavior Technician (Licence: RBT-19-77151) | |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2026-06-30 |