| NPI | 1548923899 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-24-71401) | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-21-176728) | 
| Enumeration Date | 2021-10-14 | 
| Last Update Date | 2025-09-17 |