| NPI | 1508530718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-23-70294) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2026-02-05 |