| NPI | 1528612991 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-12630)  | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-81911)  | 
| Enumeration Date | 2019-07-24 | 
| Last Update Date | 2022-09-02 |