| NPI | 1508257361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-11399) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-17-46036) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2025-09-30 |