| NPI | 1255967899 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-72285) | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT19108849) | 
| Enumeration Date | 2020-03-16 | 
| Last Update Date | 2025-05-05 |