| NPI | 1639789829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-84309) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 162728997240) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2025-10-02 |