| NPI | 1104536390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-25-81431) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-22-245756) |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2025-05-22 |