| NPI | 1245972561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 12580374) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2025-05-15 |