| NPI | 1043874662 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-77511) | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-84630) | 
| Enumeration Date | 2019-04-29 | 
| Last Update Date | 2024-11-27 |