| NPI | 1609576669 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-84474) | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-23-258957) | 
| Enumeration Date | 2023-03-08 | 
| Last Update Date | 2025-10-01 |