| NPI | 1518675396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-84830) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-22-243149) |
| 106E00000X Assistant Behavior Analyst (Licence: FL 0-24-15648) | |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2025-10-13 |