| NPI | 1356070767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AL 1-25-79082) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AL 9386463) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2025-03-06 |