| NPI | 1629785894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 12689727) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 22230399) |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2026-05-07 |