| NPI | 1851934301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2025-08-28 |