| NPI | 1104575455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-26-88915) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-11087) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2026-04-01 |