| NPI | 1770091407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-26-88601) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-38221) |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS101078) | |
| 171M00000X Case Manager/Care Coordinator | |
| 103K00000X Behavior Analyst (Licence: FL 1-19-38221) | |
| 106E00000X Assistant Behavior Analyst (Licence: FL 1-19-38221) | |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2026-03-30 |