| NPI | 1629782701 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-83855) | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 862936) | 
| 106S00000X Behavior Technician (Licence: FL 22245564) | |
| Enumeration Date | 2023-01-12 | 
| Last Update Date | 2025-10-07 |