| NPI | 1851770176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-22-63273) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2025-09-30 |