| NPI | 1497306054 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-84807) | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-99808) | 
| Enumeration Date | 2019-09-25 | 
| Last Update Date | 2025-10-24 |