| NPI | 1336967124 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-23-311889)  | 
| 106E00000X Assistant Behavior Analyst (Licence: AZ 0-25-15966)  | |
| Enumeration Date | 2024-09-30 | 
| Last Update Date | 2025-10-22 |