| NPI | 1821619933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-78554) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11030228) | |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2025-04-11 |