| NPI | 1104580976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-86694) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 21-153594) |
| 106E00000X Assistant Behavior Analyst (Licence: FL 0-23-14927) | |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2025-12-26 |