| NPI | 1194350363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-26-89915) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 19-106774) |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2026-07-01 |