| NPI | 1063111821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 4342) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC RBT-22-205415) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2026-06-24 |