| NPI | 1902280803 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst | 
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst | 
| 106S00000X Behavior Technician | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2015-07-10 | 
| Last Update Date | 2020-11-20 |