| NPI | 1780040790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-78222) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-52902) |
| 251B00000X Case Management | |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2025-01-14 |