| NPI | 1043712136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-21-50505) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA 17-43363) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2025-12-10 |