| NPI | 1861939548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: DE 1-23-65006) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: DE RBT-20-143138) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLPA10432) | |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2023-04-25 |