| NPI | 1013688027 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-22-14122)  | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-106360)  | 
| Enumeration Date | 2021-09-21 | 
| Last Update Date | 2024-09-21 |