| NPI | 1568087179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AL 2025-080) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: AL 0-23-14800) |
| 106S00000X Behavior Technician (Licence: AL RBT-20-121999) | |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2025-07-30 |