| NPI | 1023659661 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-50434) | 
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst | 
| 106S00000X Behavior Technician (Licence: FL RBT-19-99223) | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2019-10-04 | 
| Last Update Date | 2025-02-19 |