| NPI | 1124840293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-26-89611) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-24-15668) |
| 106S00000X Behavior Technician (Licence: FL RBT-23-311131) | |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2026-05-19 |