| NPI | 1023776168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-73593) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2025-10-13 |