| NPI | 1558027110 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-68401)  | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-191821)  | 
| Enumeration Date | 2021-11-09 | 
| Last Update Date | 2025-04-16 |