| NPI | 1104532191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-83901) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-25-15987) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2025-09-25 |