| NPI | 1558014613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-71148) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-23-14646) |
| 106S00000X Behavior Technician (Licence: FL RBT-21-188546) | |
| Enumeration Date | 2022-01-30 |
| Last Update Date | 2025-09-24 |