| NPI | 1114547379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-82721) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106E00000X Assistant Behavior Analyst (Licence: FL 0-23-14899) | |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2026-05-04 |