| NPI | 1609512599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-25-15864) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106S00000X Behavior Technician (Licence: FL RBT-22-205219) | |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2025-03-17 |