| NPI | 1538897293 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-76583) | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-22-228588) | 
| 163W00000X Registered Nurse (Licence: FL RN9426418) | |
| Enumeration Date | 2022-08-10 | 
| Last Update Date | 2025-01-06 |