| NPI | 1083105191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 0-26-17232) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2026-06-22 |