| NPI | 1134777055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-24-1538) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 222Q00000X Developmental Therapist | |
| 106S00000X Behavior Technician (Licence: FL RBT-19-99463) | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2026-07-10 |