| NPI | 1306387113 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-44107)  | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-55650)  | 
| Enumeration Date | 2017-03-13 | 
| Last Update Date | 2023-05-19 |