| NPI | 1174275697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BACB710283) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL BACB710283) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2025-07-20 |