| NPI | 1134637572 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-1-21-53694)  | 
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst | 
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-01-19 | 
| Last Update Date | 2024-04-03 |