| NPI | 1013792936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 12476809) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2025-09-28 |