| NPI | 1659923738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-26-90405) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA RBT-19-81728) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2026-07-06 |