| NPI | 1265075709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: BCBA1-25-84791) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-100362) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2025-10-14 |