| NPI | 1124731344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-80397) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-22-240866) |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2025-04-08 |