| NPI | 1164960431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-26-90133) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-23-14862) |
| 106S00000X Behavior Technician (Licence: FL RBT1850806) | |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2026-05-21 |