| NPI | 1073279626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-26-90922) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-73192) |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2026-06-23 |