| NPI | 1013594910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 12154113) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-121184) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2025-02-18 |