| NPI | 1508472366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 12583913) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-122459) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2025-09-09 |