| NPI | 1295377422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-39328) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 18-62163) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2025-11-13 |