| NPI | 1396254884 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-71777) | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| Enumeration Date | 2017-09-27 | 
| Last Update Date | 2025-02-13 |