| NPI | 1912663311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA BH005635) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BA005635) |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2023-04-19 |