| NPI | 1528799111 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-69644)  | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| Enumeration Date | 2022-06-23 | 
| Last Update Date | 2024-08-28 |