| NPI | 1194566232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-85064) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 106S00000X) |
| 247200000X Technician, Other | |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2025-10-27 |