| NPI | 1932876117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-24-74269) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NH 0688) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2024-08-08 |