| NPI | 1619417029 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-71972) | 
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-23-14418) | 
| 106S00000X Behavior Technician (Licence: FL RBT-18-69094) | |
| Enumeration Date | 2017-03-03 | 
| Last Update Date | 2024-03-27 |