| NPI | 1871228395 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-20-128033) | 
| Additional Taxonomies | 222Q00000X Developmental Therapist | 
| Enumeration Date | 2022-07-19 | 
| Last Update Date | 2025-09-17 |