| NPI | 1679039325 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-85112)  | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| Enumeration Date | 2019-02-19 | 
| Last Update Date | 2025-10-21 |