| 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 | 2026-04-28 |