| NPI | 1831722644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL bcaba-0-23-14855) |
| 106S00000X Behavior Technician (Licence: FL RBT-20-111309) | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2024-07-10 |