| NPI | 1609611995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-86501) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-24-354758) |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2026-03-01 |