| NPI | 1184215055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-24-71369) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-24-71369) |
| 106S00000X Behavior Technician (Licence: FL 21-150497) | |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2025-09-02 |